部分脾动脉栓塞联合腹腔镜下射频消融术治疗脾功能亢进症效果观察

发布时间：2018-04-27 09:00

本文选题：脾动脉栓塞 + 射频消融术　；参考：《山东医药》2017年34期

【摘要】：目的观察部分脾动脉栓塞(PSE)联合腹腔镜下射频消融术(RFA)治疗脾功能亢进症的临床效果。方法将42例慢性乙型肝炎引起的肝硬化性门静脉高压所致脾功能亢进症患者随机分为观察组23例和对照组19例,对照组仅实施PSE治疗,观察组给予PSE联合腹腔镜下RFA治疗。观察并记录术后并发症发生情况;术后随访6个月以上,定期复查血常规。结果两组术后第3、14天及第6个月外周血WBC、PLT均较术前明显升高(P均0.05),术后各时点RBC较术前升高不明显(P均0.05)。观察组术后各时点外周血WBC、PLT、RBC与对照组比较,差异均无统计学意义(P均0.05)。观察组术后并发症发生率均低于对照组(P0.05)。结论 PSE联合腹腔镜下RFA治疗门静脉高压性脾功能亢进症安全有效。
[Abstract]:Objective To observe the clinical effect of partial splenic artery embolization (PSE) combined with laparoscopic radiofrequency ablation (RFA) in the treatment of hypersplenism. Methods 42 patients with Hypersplenism Caused by cirrhosis caused by portal hypertension were randomly divided into 23 cases and 19 cases in the control group, and the control group was only treated with PSE, the observation group was given. PSE combined with laparoscopic RFA treatment. Observe and record the incidence of postoperative complications; follow up for more than 6 months after the operation, and check the blood routine regularly. Results the two groups after 3,14 day and 6 months of peripheral blood WBC, PLT were significantly higher than before operation (P 0.05), RBC after the operation was not significantly higher than before the operation (P 0.05). There was no significant difference in WBC, PLT, RBC between the peripheral blood and the control group (P 0.05). The incidence of postoperative complications in the observation group was lower than that of the control group (P0.05). Conclusion PSE combined with laparoscopic RFA in the treatment of hyperbaric hypersplenism with portal hypertension is safe and effective.

【作者单位】：潍坊市人民医院;潍坊医学院临床医学院;
【基金】：山东省潍坊市科技计划项目(2014WS015)
【分类号】：R575.2

【相似文献】